DIVERTICLE IN FINDING LAPAROSCOPIC. ABOUT A CASE A case report.

Abstract

Cecal diverticulitis is a not-so-frequent entity, presenting in the majority as a secondary or incidental diagnosis in a diagnostic laparoscopy. Between 4% and 16% of cases are correctly diagnosed preoperatively; computed tomography is the imaging study of choice in assessing patients with abdominal pain. The objective of this work is to describe the case of a 43-year-old patient with signs and symptoms suggestive of
appendicitis with a diagnosis of cecal diverticulum by laparoscopic finding.
Despite the complications that could arise in the patient due to his time of evolution with clinical symptoms of acute abdomen, the timely decision of management by diagnostic laparoscopy with the finding of a perforated cecal diverticulum and its release also allowed the immediate resolution of the pathology, taking a sample for culture so that it was possible to have a specific antibiotic therapy management of the germ that was causing the infectious clinical evolution of the patient, which could aggravate it. Timely diagnosis in cases such as this infrequent pathology is rarely performed preoperatively. The initial indication for a less invasive laparoscopic
surgical exploration allows an effective resolution of the finding and the correct treatment, avoiding clinical complications in the patient, providing benefits of recovery
in less time and the return to normal activities.